Individual
DR. ELIZABETH MAGRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
926 16TH ST N, SAINT PETERSBURG, FL 33705-1211
(727) 481-9983
(727) 289-4962
Mailing address
1726 CONNECTICUT AVE NE, SAINT PETERSBURG, FL 33703-5433
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY7867
FL
103TB0200X
Cognitive & Behavioral Psychologist
PY7867
FL
103TC0700X
Clinical Psychologist
Primary
PY7867
FL
103TC1900X
Counseling Psychologist
PY7867
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY7867
FL
Other
Enumeration date
06/02/2009
Last updated
08/13/2012
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